Observational Study on the impact of Nursing Department on Emergency Patients

Abstract

Overcrowding in emergency departments (EDs) hinders the ability of prehospital and hospital systems to provide adequate patient treatment. There was an initiative to shorten the delivery interval and total turnaround time, the amounts of time it takes for patients to go from when emergency medical services arrive to when they are handed over to the emergency department personnel. This research compared the delivery and turnaround times for ambulance-borne patients both before and after paramedics were included in the triage process. It was a retrospective observational study. Between the hours of 12 AM and 12 PM, the research comprised all adult ED patients who were brought in by ambulance. Patients under the age of 21, those transferring directly from an outpatient institution to an inpatient one, and critically ill patients who needed to be seen immediately in the resuscitation section, avoiding the usual triage procedures, were not included. The information was evaluated using two-sample t-tests with an α = 0.05 confidence interval. The delivery interval was 16 minutes before the program was implemented, and it dropped to 14 minutes after the program was implemented. Prior to implementation, the mean turnaround time was 35 minutes and 37 seconds; after implementation, it dropped to 36 minutes and 37 seconds. There was a reduction of 01:50 minutes in the average delivery interval. A 00:40 second increase was seen in the mean turnaround interval. Having a paramedic on staff during emergency department triage reduced delivery interval by 1:50 minutes, but there was no discernible change in ambulance turnaround times.